Re: WasCARE CLINICS post/Medicaid and behavior therapy

[Guest guest]

HCS and CLASS medicaid waivers here in Texas will pay for behavior

therapy. I don't know about other states programs, but maybe ASA can

help you find out what state is paying for what.

Nagla

> > >

> > > Dear ,

> > >

> > > My son is a patient of Dr. Jepson at Thoughtful House. They

don't

> > take

> > > insurance but we file the claims and get reimbursed ...no big

> > deal. I see

> > > nothing IMMORAL about it, As a matter of fact, it is a way of

> > cutting costs

> > > to the facility. Do you realize how much money and personnel it

> > takes to

> > > file insurance for the patients? Who do you think is footing the

> > bill? the

> > > insurance company?

> > >

> > > I would rather the money is spent on research, for example..

> > >

> > > Phone consultations are not re-imbrued, but this is nothing

unique

> > to

> > > Thoughtful House. However, it is convenient for us so we don't

> > have to

> > > travel every time. Furthermore, Any time I have a question or

> > need to

> > > contact the Dr. or any of the nurses outside our appointments,

> > they are

> > > approachable at no cost.

> > >

> > > Unfortunately, my son has not made the progress that yours have,

> > but I don't

> > > think that has any thing to do with the quality of care that we

> > get from

> > > Thoughtful House. I doubt that it will be different if we used

> > the CARE

> > > Clinics.

> > >

> > > It really bothers me when parents split into camps. If you are

> > happy with

> > > CARE clinics, that's great, but there is no reason for you to

> > attack another

> > > parent who has a different experience from yours.

> > >

> > >

> > >

> > > I CARE CLINICS SAVED MY SON

> > >

> > >

> > > > Friends,

> > > >

> > > > We have taken our son to CARE Clinics since last fall after I

> > listened

> > > > to their medical director speak at the USAAA conference. In a

> > few

> > > > short months, he is speaking in 5 word sentences, keeping

great

> > eye

> > > > contact, and making sudden and rapid progress across multiple

> > skill

> > > > areas. Our treatments have been billed appropriately to our

> > > > insurance, I have checked every statement. We would NEVER be

> > able to

> > > > afford chelation, minerals and other treatments without

insurance

> > > > reimbursement. I honestly have shuddered when parents at other

> > places

> > > > tell me they are thousands in debt from autism treatment

centers

> > who

> > > > do not accept insurance. Further, these facilities are not

> > helping

> > > > the crusade to have autism treatment covered by insurance

> > because they

> > > > are leaving parents ALONE to fight this battle. This is so

> > ethically

> > > > wrong, I cannot even begin to rationalize this business

strategy.

> > > > Burdening families with such financial strain to add to their

> > current

> > > > emotional and family burden???? Is this for real? Only making

> > > > effective autism treatment available to the upper class?

> > > >

> > > >

> > > > While I have heard positive and negative stories about

Thoughtful

> > > > House, I am very concerned that the root of this string of

> > emails on

> > > > this board and others is from TH parents against CARE clinics.

> > If you

> > > > are not a patient at CARE, and have no experience, please do

not

> > > > circulate such negative propaganda. This is completely

> > inappropriate.

> > > > CARE Clinics is addressing the defamatory letter that was

posted

> > in

> > > > the winter issue of Spectrum magazine, and they take pride in

> > treating

> > > > thousands of patients successfully over the past several

years.

> > Their

> > > > executive board of physicians are experts in autism, and their

> > > > treatment protocol is one of the best in the country if not

the

> > best.

> > > > I have investigated almost every facility in the United States

> > from a

> > > > medical perspective and from parent testimonials. That is what

> > led me

> > > > to CARE Clinics...two years of research and interviewing every

> > doctor

> > > > and facility. I have much data collected.

> > > >

> > > > In case you are not aware, CPT codes are set by AMA and

federally

> > > > regulated. Insurance companies reimburse providers for a

> > determined

> > > > amount for each procedure. CARE Clinics bills for these

> > treatments,

> > > > and accepts reimbursement following all practices. This

> > industry is

> > > > tightly regulated, and insurance fraud with laboratory testing

> > is very

> > > > closely regulated after some large scandals in national

> > reference labs

> > > > in the past couple of years. My background is laboratory

> > medicine, so

> > > > I know much about test codes and reimbursement and how this

> > works.

> > > > Further, laboratory tests are burdened with the expense of the

> > > > equipment, certified degreed technologists who are running the

> > test,

> > > > administrative costs, etc. It is not the

laboratory 'inflating'

> > this

> > > > costs. In fact, most laboratories across the country are just

> > recently

> > > > becoming profit centers thanks to higher reimbursements than

cost

> > > > centers.

> > > >

> > > > I would really appreciate if everyone would be respectful of

> > treatment

> > > > centers that are helping to recover our children. My son's

> > progress

> > > > is nothing short of a miracle. I will take my story nationally

> > if

> > > > necessary to fight the battle with insurance companies and

> > protect the

> > > > reputable institutions such as CARE Clinics that are

dedicated to

> > > > saving our children according to a research based,

scientifically

> > > > grounded protocol and provided affordable treatment to

families.

> > > >

> > > > Respectfully,

> > > >

> > > > Hunter Ryden

> > > >

> > > >

> > > >

> > > >

> > > > ------------------------------------

> > > >

> > > > Texas Autism Advocacy

> > > > www.TexasAutismAdvocacy.org

> > > >

> > > > Texas Disability Network

> > > > Calendar of Events

> > > > www.TexasAutismAdvocacy.org